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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Intraosseous cavernous hemangioma: a rare presentation in maxilla
Burak Kaya1, Servet Elçin Işılgan1, Cem Cerkez2
1Department of Plastic Reconstructive and Aesthetic Surgery, Ankara University School of Medicine, Ankara, Turkey.
Eplasty
|October 21, 2014
Summary
Intraosseous hemangiomas are rare benign bone tumors. Surgical excision and Medpor reconstruction effectively treated a left infraorbital margin hemangioma with no recurrence.
Area of Science:
- Oncology
- Plastic Surgery
- Radiology
Background:
- Intraosseous hemangiomas are rare benign vascular tumors, accounting for only 1% of all benign bone tumors.
- These lesions primarily affect soft tissues, making intraosseous occurrence uncommon.
Observation:
- A 42-year-old woman presented with a painless, hard swelling on her left infraorbital margin.
- Orbital magnetic resonance imaging (MRI) diagnosed the swelling as an intraosseous hemangioma.
Findings:
- En bloc excision of the intraosseous hemangioma was performed via a subciliary incision.
- Reconstruction of the infraorbital margin defect utilized Medpor, secured with polypropylene sutures.
- Histopathological analysis confirmed the diagnosis of intraosseous cavernous hemangioma.
Implications:
- Total surgical excision followed by reconstruction is the recommended treatment for intraosseous hemangiomas.
- Medpor proved effective for reconstructing the orbital floor, infraorbital rim, and maxillary sinus wall, achieving a natural contour without additional scarring.
- The patient showed no signs of recurrence or cosmetic deformity three months post-surgery.
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